Spontaneous ovarian hyperstimuation syndrome in a naturally conceived singleton pregnancy.

OBJECTIVE

To report the occurrence of a rare case of spontaneous ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy.

DESIGN

A case report.

SETTING

The Obstetric and Gynecology Department at King Fahd Central Hospital, Jazan City, Saudi Arabia.

PATIENT(S): Our reported case was a middle-aged Egyptian woman presented in the second trimester of her first pregnancy with persistent abdominal pains, shortness of breath, vomiting, and diarrhea.

INTERVENTION(S): The data were collected by full history taking, clinical examination, transabdominal ultrasonographic examination, and by revision of results of the patient's laboratory tests.

MAIN OUTCOME MEASURE(S): The possible event of spontaneous ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy.

RESULT(S): Our case was reported as a severe case of spontaneous ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy.

CONCLUSION(S): This case report emphasizes the importance of thorough evaluation of all women presented with acute abdomen and ovarian masses during pregnancy. Although the condition is extremely rare, it is a potentially lethal in its severe form if not timely diagnosed and managed conservatively. With the increasing awareness of these conditions, more and more cases could be detected and reported.